Morris & Dickson Job Application

Job Application
Driver's License? *
Current Address *
Current Address
City
State/Province
Zip/Postal
Previous Address
Previous Address
City
State/Province
Zip/Postal
Have you had a major illness in the last 5 years? *
Have you been under any medical treatment in the past 2 years? *
Do you currently use a prescription medicine? *
Do you have friends or family that work for us? *
Have you ever filed an employment application here before? *
Do you have income, other than what you will receive from us? *
If married, do your wife/husband work? *
Do you own a car? *
Do you have insurance? *
Types *
Do you have any type of police record? *
Are you a registered vote? *
Are you a smoker? *
Are you accustomed to hard work? *
If employed, are you willing to cooperate in every manner with your fellow employees and management? *
Have you ever been fired from a job? *

Past Employment

Past Employment

Past Employment

Past Employment

Reference: Persons who have known you for at least 3 years. Do not list family members. Local references, if possible.

Optional Resume Upload
Maximum upload size: 2MB
As a part of this application for employment with our company, a routine inquiry may be made to provide us with
further applicable information concerning your character, general reputation, personal characteristics and background. Upon
written request to the company, within three (3) days after your receipt of this notice, information as to the nature and scope of
the inquiry, if one is made, will be provided to you. Pre-employment screening includes a polygraph examination. I understand
that any false statements or misrepresentations made during the application process either in writing or in the interviews, shall
result in the rejection of my application.
I understand and agree to have my record investigated as to felonies, misdemeanors, or any other arrest. Further, I
waive such legal rights if any that I may have and do release any and all persons from liability in connection with furnishing
information about me.
It is understood that my employment is for an indefinite period of time and if I am accepted for employment, such
employment may be terminated at any time without previous notice; all wages to cease at the time of such termination.
I hereby certify the information given in the application is true and correct, and I acknowledge understanding and
agreement to the above provisions.
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